Individual provider Active NPI

Eric Victor Pagano, OTR/L

  • Occupational Therapist
  • Royersford, PA
National Provider Identifier
1891428520
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC020677 Issued in PA
Practice address
400 Enterprise Dr FL 2
Royersford, PA 19468-1218
Phone
(800) 321-9999
NPI assigned
Jul 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01066700 NJ
Occupational Therapist 225X00000X OC020677 PA Primary

Addresses

Primary practice location

400 Enterprise Dr FL 2
Royersford, PA 19468-1218

Mailing address

2030 Corning Rd
Palm, PA 18070-1019
Phone (856) 873-2043

Other identifiers 1

IdentifierTypeStateIssuer
731432722MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240422000540 NJ Practitioner - Occupational Therapist in Private Practice 9234578436 Reassigns benefits to 1 organization
I20250325001775 PA Practitioner - Occupational Therapist in Private Practice 9234578436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians

Practice addresses (Care Compare)

400 Enterprise Dr
FL 2
Limerick, PA 19468-1218
Phone (800) 321-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01066700NJMDOccupational Therapist
OC020677PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Mar 31, 2025 Accepting new patients
Brielle Integrated Healthcare LLC CurrentSince Feb 20, 2024 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Occupational Therapist CurrentSince Mar 31, 2025 Accepting new patients

Locations

2373 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595

629 Higgins Ave
Ste 2
Brielle, NJ 08730
Phone (732) 872-6595

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1891428520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 CORNING RD",
            "city": "PALM",
            "state": "PA",
            "postal_code": "180701019",
            "telephone_number": "856-873-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR FL 2",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681218",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "ERIC",
        "middle_name": "VICTOR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-09",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01066700",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC020677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731432722",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.